(Four easy ways for you to register for
the Las Vegas Kickoff Classic)
1.
Complete the registration form and payment online at
www.dugout.org
on the Las Vegas Kickoff Classic Tournament “Sign up now button”
and hit the submit key when finished.
2.
Send this information with your credit card information via e-mail to
NABANational@aol.com
3.
Complete the registration form and fax it to (303) 639-6605
4.
Complete the registration form and mail to NABA National headquarters
at 3609 S. Wadsworth Blvd, Ste. 135, Lakewood, CO 80235.
Be sure to include your deposit.
Manager’s Name
_________________________________________________________ Player Pool Name
______________________________________________
Address
_______________________________________________________________ City
______________________________ ST _______ Zip ______________
Day Phone (_____)____________________________
Home Phone (_____)_______________________________ Fax
(_____)______________________________
NABA League
__________________________________________ Email:
_______________________________________________________________________
League President
________________________________________________________ Team Name
___________________________________________________
Please check only one: _______________
Complete team. _________________ Partial team. ________________ Individual
player pool player
I/We plan participate in the following
division:
______18 Wood - Open _______18 Aluminum -
Open_______25W _______35W _______45W
I/We have enclosed a deposit in the amount
of: ______________$500 (Team) _______________ $500 (Partial team)
_______________ $100 (individual)
Deposit submitted is made by: __________
Certified funds or money order __________ Visa __________ Master card
___________AMEX
Amount Authorized $____________________
Expiration Date _________________________ Security Number
_________________________________________
Name on Card ________________________________
Billing Address
__________________________________________________________________________
Credit Card Number
___________________________________________________________________________________________________________________
Card Holders Signature
________________________________________________________________________________
Date ____________________________
(By signing this card holder signature form
you are verifying that you are the card holder of the credit card being used
in this transaction. Furthermore, you agree to allow the NABA to use your
credit card for the amount authorized by you in the above registration for
services rendered by NABA.)